RUBRACA

Indicated For

Advanced prostate cancer (BRCA mutation-positive), advanced ovarian cancer, fallopian tube cancer, pancreatic cancer (BRCA/PALB2 mutations)

About This Medication

# RUBRACA Patient Assistance Program (PAP) Patient Guide: How to Get RUBRACA (rucaparib) at Low or No Cost RUBRACA (rucaparib) is a prescription medication, and the **RUBRACA Patient Assistance Program (PAP)** from **pharma& GmbH** helps eligible uninsured patients or those unable to afford it access the drug at no cost. This guide explains eligibility, application steps, and support options in simple terms to help you start treatment smoothly.[1][2][6] ## About RUBRACA (rucaparib) **RUBRACA** is a **PARP inhibitor (PARPi)** approved for treating certain advanced cancers, including **BRCA mutation-positive advanced prostate cancer** and **recurrent ovarian cancer** maintenance treatment. It works by targeting cancer cells with specific genetic changes, helping to slow or stop tumor growth. It's available as tablets and often requires **specialty pharmacy** handling due to its targeted therapy nature. Always take it as prescribed by your doctor, and discuss side effects like nausea, fatigue, or low blood counts.[2][4][7] Your doctor will confirm if RUBRACA fits your diagnosis. This program focuses on financial access, not medical advice—consult your healthcare provider for treatment details. ## Who Qualifies for the RUBRACA PAP? The program is for **uninsured patients** or those who **cannot afford the medication**, even if insured but denied coverage. Key requirements include: - U.S. residency (or DC/Puerto Rico, based on similar programs).[6][9] - Meeting **income limits** (specific Federal Poverty Level (FPL) percentages apply, though exact thresholds like individual, couple, or family sizes are not publicly detailed—call for personalized review).[1][6] - Approved diagnosis where RUBRACA is prescribed.[2] - No government insurance billing; value doesn't count toward Medicare Part D limits.[6] **Insurance note**: Insured patients need **proof of denial**. Medicare/Medicaid patients may not qualify directly but can explore **Extra Help** (Low-Income Subsidy).[6] ## Income Eligibility Breakdown Income limits are based on **FPL percentages**, typically 400-500% for similar programs, but pharma& reviews case-by-case. Provide proof like tax returns or pay stubs. Here's a general table (estimates; confirm via phone as specifics unavailable): | Household Size | Estimated Max Annual Income (400% FPL, 2026) | Notes | |----------------|---------------------------------------------|-------| | **Individual** | ~$60,000 | Subject to audit[1] | | **Couple** | ~$81,000 | Family adjustments apply | | **Family of 3**| ~$102,000 | Call for exact[6] | | **Family of 4**| ~$123,000 | Higher for larger families | *Table uses 2026 FPL estimates; actual limits may vary. Income includes all household sources.*[1][6] ## Insurance Requirements - **Uninsured**: Primary group—provide income docs.[1][6] - **Insured**: Submit **proof of insurance denial** (e.g., letter from insurer). Program can't bill insurance.[1][2] - **Medicare Part D**: Not directly eligible; apply for **Extra Help** separately (as low as $11.20 copay possible).[6] - **Medicaid/Other Gov't**: Generally ineligible.[6][9] Other pharma& programs like **QuickStart** (free 15-60 day supply for delays) or **Co-pay Assistance** (not for gov't insurance) may bridge gaps.[6] ## Step-by-Step Application Process 1. **Talk to your doctor**: Get a **prescription** and discuss RUBRACA Enrollment Form.[1] 2. **Download/complete form**: Use **RUBRACA Enrollment and Comprehensive Support Form** from rubracahcp.com. Sections include patient info, consent, PAP application.[1][3] 3. **Gather documents**: - Prescription. - Proof of denial (if insured). - Income proof (uninsured).[1][6] 4. **Submit**: Fax to **1-844-779-7717** or call **(844) 779-7707** for help. Multiple methods available.[1] 5. **Sign consents**: Authorize info sharing for processing.[1] 6. **Wait for approval**: 2-4 weeks typical.[1] Your provider often assists—many forms need their signature.[1][8] ## Timeline and Delivery - **Processing**: **2-4 weeks** after complete submission. Delays if docs missing.[1] - **Delivery**: Via **specialty pharmacy** or **in-office dispensary**. Free supply while approved.[1][7] - **Reauthorization**: **Required**—renew before refill to avoid gaps.[1] Track via phone support. ## Alternatives if Denied - **Appeal**: Provide more docs or denial proof.[1] - **QuickStart**: Free 15-day supply, renewable to 60 days for coverage issues.[6] - **Extra Help** (Medicare): Apply at SSA.gov.[6] - **RxAssist.org**: Search other aids.[3] - **NeedyMeds** or state programs.[6] - **Manufacturer co-pay** (non-gov't insurance).[6] Call **(844) 779-7707** for options. ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and availability can change—**always verify with pharma& at (844) 779-7707** or rubraca.com. Not medical/financial advice. pharma& or affiliates not liable for use. Consult your doctor/insurer. Program subject to audits.[1][2][6]

Program information last verified: March 30, 2026